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Custom Web Site Estimate Request
Fill out the following form completely to receive
an estimate for custom Web design services.
Estimates returned within three business days.

All estimates are valid for thirty days -
please contact us for an updated estimate.

General Information

What is the main goal of your web site?  

How many pages do you think you will need?

Select the size of your business:

Select the category that best describes your business:

Do you have pictures, logos, or graphics in .gif or .jpg format?
Yes No
Do you need to have digital photographs taken for a web site?
Yes No
Do you need high quality brochures with images scanned for a web site?
Yes No
Do you have text written for use on a web site in .txt format?
Yes No

Provide the full URLs of any sites you think are good examples of what you want.

What aspects of these sites do you like?

Check all that apply.

# of Products/Services You Sell:

Do you need shopping cart set up?   Yes No

Do you have a Merchants Account?   Yes No

Is this a re-design?   Yes No
If so - current URL: 

Choose from the following options you want on your web site.
Add-on Features.
Site Map
CGI for Collecting Email
Secure Online Ordering
Guest Book
Message Board

Have you already registered a domain name?
Yes   No
If so - enter it here:

Please indicate your projected time frame for having a site online.

Your Contact Information

Contact Name: 
Contact Phone # : 
* Zip Code: 
Contact Fax # : 
* Contact Email Address: 
How you found our site: 

* required

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Contact Information
7234 Emmett Rd.
Yale, MI 48097-3805
(810) 387-4592 Office

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